Acknowledgement of Receipt

Table of Contents

The Acknowledgement of Receipt may be completed within Workday or a printable copy is available within the State of Iowa Employee Handbook in the related file found at the bottom of this page.

This is an example and is not to be used in place of the official document.

 

I, _________________________________________________________________________________________,                    Employee’s Name

acknowledge I have received the State of Iowa Employee Handbook, which includes the Equal Employment Opportunity, Affirmative Action and Anti-Discrimination Policy; the Policy Prohibiting Sexual Harassment for Executive Branch Employees; the Zero Tolerance Policy, the Drug-Free Workplace Policy; the Substance Abuse Policy; the Smoking and Tobacco Use Policy; the Social Media Policy; and the Violence-Free Workplace Policy.

I have been directed to read the Employee Handbook, including its policies, and was offered an opportunity to ask questions about its contents. I am also aware I am expected to read and be familiar with any updates to the information contained in this handbook. I acknowledge this handbook is not a contract between the State of Iowa and me. I further acknowledge individual state agencies may have more specific policies in place which augment those contained in this handbook.

 

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Employee’s Name (print), Employee ID #


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Employee’s Signature                             Date

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 Supervisor’s Signature                           Date

Place the original of this form in the employee’s personnel file.

Provide a copy to the employee.